Tropical rainforest biodiversity: field and GIS tools for assessing

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Tropical rainforest biodiversity: field and GIS tools
for assessing, monitoring and mapping
Udzungwa Mountains National Park, Tanzania
24 August - 6 September 2015 (fourth edition)
Application procedure
The maximum number of students admitted to the course will be 15. Deadline for applications is
June 30th, 2015. To apply, please send by email to udzungwa.school@gmail.com the completed
application form below including a brief curriculum (maximum two pages). We will review your
application and communicate by the beginning of July acceptance based on (1) qualifications and
(2) application date. You will then be communicated by email the outcome of the review, and if
positive you will be asked to proceed with payment.
Upon acceptance of the registration, payment of an advance amount (300 Euro) is requested
straight after. Residual amount (700 Euro) will need to be paid by July 31st 2015. In the case
that past the deadline there will still be available places, registration and payment of the full
amount will be accepted prior to August 1st.
Payment can be then done through bank wire (see details below) or credit card (please note
that CARD HOLDER MUST BE THE APPLICANT), as follows:
(1) Click http://www2.muse.it/cc_muse/store/default.asp to proceed with credit card
payment (please note the amount must include 3% of on-line credit card fees, so
advanced amount is 309 Euro, final payment is 721 Euro).
(2) Details for bank wire:
- please indicate in the transfer SURNAME_NAME_TANZANIA 2015;
- all transfer and exchange rate costs are charged to the applicant’s account.
Account holder: MUSEO DELLE SCIENZE – Corso del Lavoro e della Scienza 3 – 38122
TRENTO (ITALY)
Bank name: UNICREDIT S.P.A.
Branch address:
VIA GALILEI 1 – 38122 TRENTO
IBAN:
IT 08 I 02008 01820 000005423762
BIC-SWIFT CODE: UNCRITM10HV
A receipt of payment will be sent to the applicant, by email and/or hard copy
APPLICATION FORM
Personal Data
First name:.........................................................................................................…………………
Family name: .......................................................................................................……………….
Gender: M F
Date of birth: ......................................................Place of Birth………………………………
Country of birth:.........................................................................................................…………..
Citizenship: .........................................................................................................……………..…
Passport number/ID card number: ............................................................................................
Address:.......................................................................................................................................
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Country: ....................................................………
ZIP-Code..............................................
Tel.: ............................................................Mobile: .............................................
E-mail: ..........................................................................Fax: .....................................................
Current Position: ................................................................................................……………..…
Native Language:....................................................................
Payment modalities (see details above), please tick one:
Address of invoice if different from above:
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Educational Background and general information
PhD (Title of the programme and title of the dissertation or major)
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Master Degree (Title of the programme and title of the dissertation or major)
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Degree (Title and title of the dissertation or major)
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Other Relevant Courses
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If English is not your native language, how would you rate your proficiency on a scale of 1-5
(where 5 = complete fluency)?
Reading:
1
2
3
4
5
Listening:
1
2
3
4
5
During your work or study experience have you already used GIS?
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If the answer is yes, which is the GIS software you used?
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During your work or study experience, you already studied Tropical Ecosystems?
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If the answer is yes, which is the tropical environment you know best?
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Short description of the motivation for participation (max 200 words)
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Brief Curriculum (Maximum 2 pages)
The brief curriculum can be also sent as an attachment in pdf format together with the present
application form to udzungwa.school@gmail.com
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